HomeMy WebLinkAbout220 Kelly RoadTO THE BUILDING INSPECTOR
I of APPLICATION FOR
TO" OF SOUM WIHDSM COIF.
PLAN EXAMINATION AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all ite s ins ion . 1, 11, 111, IV, and IX.0
ZONING
I• AT (LOCATION) e T DISTRIC
LOCATION NO.) TREET) C
r
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
rn
rn
I
1 New building Residential Nonresidential
2 Addition(It residential, enter number 12® One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — --jo. 20 Industrial
3 Alteration (See 2 above)
14 Transient hotel, motel,21 E] Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential,Of units ——————— — i E] Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 Moving (relocation)17 Other — Speci/y 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 K Private(individual, corporation,
28 Tanks, towers
nonprofit institution,etc.) 29 Other — Specify
9 Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ 0C>0 school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
c. Heating, air L
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ 20, OHO
III. SELECTED CHARACTERISTICS OF BUIL ING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS c
30 Mas my (wall bearing) 40® Public or private company
48• Number of stories................ &A46
31 Wood frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 JZ Public or private company
Total land area, sq.ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ...................... "7t4)
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors.......................
c nditioning?Oil L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45[W N 53. Numb r of bedrooms..............
38 C al
39 Oth r— Specify Will there be an levator?
54. Number F
Full..........
46 Yes 47 9 No bathr ms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP cod T I. No.
Owner or
Lessee 44
2.
Contractor
3.
Architect or LA
Engineer f1-77
Th owner of this and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sig tur o pp ant Address Application date
00 NOT WRITE BELOW THIS L NE
V. PLAN REVIEW RECORD — For office use
Plans R view Required Check
Plan
Fee te
view DateStarPllaans By DateApp Plans By Notes
BUILDING Z—
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or ApprovalI Check
Date Number BppObtainedyppObtainedy
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit numb r 9625
Bui Iding
Permit issued Dec. 13 19 7—
Building
P rmit Fe $ 20.00
Approved by:
t
ITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
N
gay=
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date De c. 13 19 76
Fee Paid $.120,00 Est. Value ,$20,000.00
Permit N?9625
on the side of
e I ly Road Street
Street No. 790
Owner PICarpentryT
i
Applicant PLT Carpentry Co.
1
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 4888
Fee Paid $ 3.00
CLASSIFICATION
Dwe l l i nz
BUILDING PERMIT
9626
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Le c• 13 19 76.
944too to to Terttf1j, That FLT Carpentry Co.
is hereby granted permission to Dwelling
at estimated value of $ 24 t®04.00
on the side of 220 Kelly Road Street on land
owned by FLT Carpentry Co.
Said Work to be as described in Application
No. 9925 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss LeG. 13 i9 760
uddi
k
g Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a _
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compellec! to reason therefor."
y/rye- 7 Z_6yy ajlr/
INSPECTION REPORT
Permit # Job
1 Footing
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
A;z//,3/7,/,Ll
INSPECTION REPORT
Permit Job e2 pby
1 Footing
2 Foundation
3 Framing J, S
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O. G
Permit No. OWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N®4888
Certificate of Occupancy
I
THIS I TO CERTIFY the L
at No. in th own of South Windsor, Connecticut, has
been erected and complofed in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy
4
Building Inspector
Q r, uil r
Fee Paid -!
l
Date A 7 19
TO THE BUILDING INSPECTOR
This will Certify that the Property Identified below has been Inspected and Meets
Engin ring Criteria for Certificate of Occupancy.
D c
e17_r
Engine ring Approval Dat
4 fh
ypy
g ,
y
1
EVERETT O. GARDNER & ASSOCIATES-`"576 OLD POST ROAD TOLLAND, CONNECTICUT 06084 -
HALBERT.-5R a CLEO GL1pprc1y
0
a
20 90QWW a
1 0
I Q a`irJ`
s
o40
I a-
b2
In
1 S RCP
Z•F=1 o-o
5~gyp ,ESL`/ ROAD
5 P1N
FLs q4.O 10Z 104 106
PERMIT PLAN
LAND OF JOSEPH JOHN & HELEN TERESA KRISTAN
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: I " = 40' OF copy
I U.
Certified substantially correct. P;a cos
No. 4395
z EG R p I/00l I
SURVE`0%
PE - #4395
November 23 1976 ITolland, Conn.
Rev. 12•/1/-IG
REFERENCE:
Map prepared for Joseph Kristan South Windsor, Conn.
Scale 1 " = 60' Dated 10-29-62 Rev. 10-30-62 By John J.r IMpzfohi & Aso Cg^tified substantially correct, no zoning i
vioa ions. 06 Luc Jr. LS3744
o---- wx%S_rIt,G PR0R05E0 Cor'rOuRiE>
PROFESSIONAL ENGINEERS LAND SURVEYORS
76
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YY _ _._._ .
6168
ELECTRICAL APPLICATION
Application No. 6 4 7 7
on the side of
Ke 1 ly Road Street
Street No. 220
p,,n,r PLT Carpentry
Electrician C S Cunningham
FILED IN OFFICE OF
The Building Inspector
Jan. 28 197 7
INSPECTION.
No Electrical Work shall be started until a Per.
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.
No. .647..7...........................
Permit No. .6168...... •
TO THE BUILDING INSPECTOR
of theE
TOWN OF SOUTH WINDSOR, CONN.
hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall lade co led with jwhetherspecifiedhereinornot.
7
South Windsor, Conn., `? ........ 19.71 Sign here ..7 ii-.
IlqAddress Sr
Location '' / `°•a fTlr/ Side of
Nature of Building ............./ 1 q4e. T f.c................... . How many stories .................................."..Z..........._............._..........................
Newor old Building ................./".....`'` ..................... ................... .. How many families ................._.............. .............._............................_...........
Kindof Installation ....................................................................................... How many Stores ........../
j................ .._........................ _......
Owner L s. Address ...5...'/"''....../ .....",-
Architect ......../..................../. ................................. .... ............................. Address .........................................................................._............_.r...._.w_......_......
BuilderG. . .... Address .............................................................. ..................._... ... .......
Electrician .....................................................`................................................... Address
Size of Main Wires ... ...................................................._
No. of Light Loops .............................. .......... No. of Heat Loops ........... ..... . ... ........ . No. of Power Loops ........................._...r....
No. of Light Outlets ........ .?............... No. of Heat Outlets ...... No. of Power Outlets ......................................
NoO of Light Circuits .......d2.. .......... ..... No. of Heat Circuits ......... ... . .... . ......... No. of Power Circuits ............... ................
No. of Sockets ............................ ................. No. of Heat Receptacles ...... . .. ... No. of Motors ..........................Z.......................
No. of Panels .....................1............... ................... Size of Heat Circuit .... .............. ...... .. No. of Power Receptacles ........................
No. of Switches ............... ............... ........... Total Wattage ....................................................... Size of Power Circuit ..............................
Total Horsepower Ila......
No. of Straight Electric Fixtures ............`.o..... No. of Combination Fixtures ..... ...... ......................... ... .............
No. of Receptacles 1 No. of Cord Drops ...............................................................................................
Remarks: For other kind of Installation ...
OU
Estimated Cost .......... ........ ....................
4976
PLUMBING APPLICATION
Applint- No, &7 6 4
on the ...._ aide of
K Ke 1 ly Rdy -
Street No. 220
Owner ..hL.T
Pluniber LtxC-
Fled in Office of
The Bolding1npeKmc
Feb. 3 19JZ
n seseiso r.
No person shall oonstrU2, add 0 or aloes any
portion of the drainage system of my 6m'l&g
e:aept to repair lealm) until a Permit s Srraooed
by the Building Lupectw.
Application No. ......4.7.6. ........4 ......... Permit No. ...49.6..................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
a I
South Windsor, . ' ... .............. ................................. ........ 19 ..7. ... Sign ere` ...::. LL-4--k.......1r:..............................
Address ...)'!....! -c,.? . : ..... .......` ...................................................
Location ..X- :... k.. side of ..................................................................................................... Street
Natureof Building .. t, .............I.. .. ........................ How many stories .. ................................................ ..................................
Owner ....3....k t.T............. ..... . ............................................. ........ Address . ..................................................................................................................
Architect Address ..........................................,..........................................................................
Builder Address 1. .9...}.i.N.....A......:.1.....T.... .... . .
Plumber T.........s 4................................................................... Address .......... ......1....................................................
c DRAINAGE
CESSPOOLS, How many .L l................. ................ Where located ........................ .........................................................................
Are they water tight . . ................................................................ Of what materials are they built .................... ................................
Size of pipe from house to cesspool .......4<(Kind of pipe . ..... ... . ............... .................................................................
MAIN DRAIN IN CELLAR, Mate ial '. '...1--+.. Diameter .......¢:....................
Aboveor below cellar bottom .. ...... ............................... ............. ..................................................._.....................................................................
1 B Diameter .. ....J...!.........
I.
SOIL PIPES, Material ..... ... ... ............................................
i+.........................................................................
WASTE PIPES, Material .1"}Diameter ....... ..... ................................................................ ..............
TRAPS,Type proposed to use is
RAIN WATER LEADERS, where do they run toy. -! ' ... ...................................................................................................................
REFRIGERATORWASTES, where do they run to .. ... ................... .............................................................................. ...............................
TANK OVERFLOWS, where do they run to
FIXTURES I
WATER CLOSETS, How many ................. ............. ........... Where to ated . 1 . l v--
11
Distance from trap to vertical soil pipe ...........q:...................... Pattern
WASH TRAYS, How many ... .................................. ......... . Where located . .........
SINKS, How many ...................... ............................'.................................... Where located .. .. .....!"...................................................................
BUTLER'S SINKS, How many ........................................................ Where located. ....................................................................................................
REFRIGERATORSINKS, How many.. ................................... Where located ...................................................................... ............................
LAVATORIES, How many . ................... .................................. Where located .....
rr.....................................................................BATH TUBS, How many ................................. ................. Where located ).. `'.-L
URINALS, How many ....................................................................... Where located .................................................................................................
Are water closets and urinals to be local vented If not, is there a window in outer wall
ofroom where same are to be located . 11-P4
Estimated Cost 1 ..`.. .. .. .. ........ .......
PERMIT #
Application For 4797 4596
e DEPARTMENT DECISION
eatuig Permito
3 APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPECTIONS
N + 0 APPROVED DISAPPROVED
I TOWN OF SOUTH WINDSOR a.
0 cd XA,
00 O
9/10177
O
DA E C>w0lNSfttTOR&r APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
0 _ 1. LOCATION OF JOB
c
O kedl(A-cis No. STREET
c ci
cn
LOT NO. FLOOR APT. N0.
O O
N
11-4 f4-0L- Carpentry02. OWNER
ce
b00 3 3. ADDRESS 4 14 1 0
i 4-2 ; 4.PH NE
r
S. APPLICANT
0 DO•
6. ADDRESS iSS
ce e 5w7.PHONE
a
4-1 o B. LICENSE NO. Q 5e15
C> 4., e. EXPIRATION DATE OF LICENSE
c.>
Q 10. ESTIMATED COST0
bID 11. IS THIS A CONTRACT COST? YES
12. FEE ENCLOSED s-- Pe I m i t 96 2 5
v
C40 13. TYPE BUILDING
w
cn bo RESIDENTIAL COMMERCIAL
c 3 14. TYPE OFJOB: INDUSTRIAL
i ORIGINAL ALTERATIONINSTALLATIONADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB Lle, I t' oci
NO. j STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: Er OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
IYSIZELOCATIONSIZE
FILL
SIZE
VENT 13. OF TANK r 5 OF TANK3jaseotieu+
14. B.T.U. EQUIP. AT REGISTER FURNA E nKE AND NO. AT SONNET FIRING RATE
BOILER OR FURNACE MA E AND NO. B.T.U. OR SQ. FT. NET 00,4—B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED (NL EW.,O OL , BUILDING u-y INSULATED - YES OR NO L j
TYPE OF WALL L''' c' INSULATION T' K ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE G'''--,10' FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. C PPER CO VECTO , OR C.q RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. 0R B.T.U. n 2 Yam=w l 2c.M N%6'
I
a rz
DESCRIPTION OF WORK r15. TO BE DONE: 114el LwIftk
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U.DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALw4
ROOM GROSSGLASS NET WALL CEILING FLOOR CU.FT. AT MP O
F CORRECTEDCTED J j REGISTER
L W H AND 6 TYPE AND SIZE RAD. OR LEADER
SIZE < WALL fALtO INFILT.)
DIFF. F P divai SQ' FT' FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING, OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
19. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUT ORItED BY THE(0 NER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUIL ING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. iJ • d L C7
DATE SIGNATURt O A-tP,PLICANT
I^ tlo
ARGO CALCULATION SHEET
OWNER ADDRESS ,r I/1 / c KSrlf w/woso/2 DATE
DEALER LIAR 1T{ P-i- Ff KIND OF BUILDING_+ _r
I
CHIMNEY SIZE
CONSTRUCTION: WALL '4/"
WINDOWS ROOF OR CEILING 6 " OK-
BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF
COL.1 2 3 1 4 5 1 6 7 1 8 9 10 11 12 13 14 15 16 17 18
ROOM SIZE WINDOWS AREA-SO. FT. FLOOR VOLUME BASEBOARDS
AND DOORS CU. FT. TOTAL TOTAL
SEE NOTE)
AT 70 F CORRECTED WATER ACCESSORIES
ROOM NUMBER GROSS GLASS NET WALL CEILING PIS TEMP. TO TEMP
L W H ON AREA WALL c RIFF. Q() p FIN L R 5 I.0 MISC.
SIZE F TUBE
to-) 1 0 I O T[MP. RIFF.
G
3 S oo '/AF,v1 l 1 0 D O30 0
Alo 310 Jc v -I'- 6 38 OP360
41. I y' /o 2500 doo,a oo 0 9(000
DIN _ a 0 90 a on i o
o 3A00 10DO0 1 6 Oo
A 9 t If V Y o
0 o 700 0 3 ?o-o a 3 0
6 0 8G
S00300ooayooayo
1,owc r a 6 8 5 oo 3,00 oz o o 200 170 D 1 1/0
R o2.. " I So r /8 0 i o
5 0 De1, S 00 /O O0 500 90a 80 o0y
1 r' — — 1 dy 105 L
19 Q 0 1Soo 702 yo o 6 0 11
i z ,1400 Yoo 700 700 lo 7/ 1
I
NOTE: FOR CONCRETE FLOOR ON GROUND R FILL AT GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE. TOTALS
FOR ALL OTHER FLOORS USE SQUARE FEET OF AREA. 19
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION ANDOF ; W CONK. BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O
ZONING aI• AT (LOCATION) DISTRICT/fir
LOCATION NO.) SIRE) )
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 ® New building Residential nonresidential
2 Addition(11 residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,13 Two or more family — Enter 19 Church, other religi usinPartD, 13)
number of units— — — —
3 Alteration (See 2 above) 200 Industrial
14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (1f multifamily residential, of units ——————— — -i 22 Service station, repair garage
enter number of units in building in 15 W Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 El Moving (relocation)
17 Other — Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 X] Private(individual, corporation,28 Tanks, towers
nonprofit institution,etc.) 29 Other — Specify
9 Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
processing plant, machine shop, laundry building at hospital,elementary
10. C st of improvement................ S 1W school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(elevator,etc.)............
11. TOTAL COST OF IMPROVEMENT $ fLnob.60
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Mas my(wall bearing) 40 Public or private company
413• Number of stories................
31 ® Wood frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 R inf reed concrete H. TYPE OF WATER SUPPLY
34 Oth r — Specify 42 Public or private company
Total land area, sq.ft. ........... D
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.............
96 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 N 53. Number f b dr ms..............
3B C al
39 Oth r— Specify Na&A Will there be an el vator?
54. Number f
Full........,.
46 Y s 47[N No bathrooms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b comp/et d by all applicants
Nam Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or C, dt!D
r
Lessee
2. a obo7
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
gnatur of
v
nt Address Application date
f-
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w R quired Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit or Appr vaI Check Date
Obtained Number By Permit or Approval Check ObDat^ d Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit numb r 12653
Building
P rmit issu d April 19 19 R2
Building
Permit Fee $ 24.00
TI T L
NOTESVIII. ZONING PLAN EXAMINERS
DISTRICT
FRONT YAR
SIDE YARD SIDE YARD
REAR r
NOTES
IX. SITE OR PLOT PLAN For Applicant Use
w .w.w...a.......................rw.... .................... ...ww Ogee. . .. w . ...... .. . .. . ...• a..la\ • ww.•.I
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e ..;
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1.r f--/.•M.r. •tea.a.Ogee.r1••.rt....\.Y.r..riNr.. /lri\ L*t ..Y/ N..1f . rL r :Y! Ara^•
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14
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date An i 1 19 19 82
Fee Paid $.2.4..00 Eat. Value $4 t 000
Permit No 12653
on the aide of
Ke 11y Road Street
Street No. 220
Owner Gi lmay^. Duquette
Applicant Yvon Duquette
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Garage
BUIIDING PBRbffT
OFFICE of
12653
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. _ nril Lam- .
94is is to (Corti , That Yvon Duquette
granted Ga- toisherebygranpermissionto
i
at estimated value of
22n Ko 1 ly Read Street an land
on the aide of
owned by GU MAYMAy D111012 e t to
Said Work to be as described in Application
No.12953 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR
Issued April 1O
fir 1
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle is any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
B ildinn SPELT s:APPLICATION FOR BUILDING PERMIT
Plumbin
HVAC Date:
220 Kelly Road
Sprinkler
Electric Estimated Cost $ 3t)
Zoning Permit Fee$
Affidavit NO. d``8 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept.TYPE OR PRINT ONLY Total Fee $ 3U.
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby a lies to do work according to the following specifications:
Job Location s Lot No. Side of Street Zone
Applicant 011,0 14 fZ Tel. # W-Y PCI
dAddress Zip Lic.#
TREE'V CiTy f STATE
Owner ddress
Archite t Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd
Purpose of this Permit
City Water 0 Well 0 Septic 13 Sewer O
Use Group Construction Type
c
Approv d by Date 7 BDIA 11i88
I h reby agree to conform to all the requirem nts of th Laws of the Stat of Connecticut and the Ordinanc s of the Town of South Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree
that this building is to be located the prop r distance from all street lines,side yard lines and required dist races from all other zon s and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in tVsapplicatiyforpermii(
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: